Provider Demographics
NPI:1437495660
Name:ROMERO, ANGELICA VALEYRON (LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:VALEYRON
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14261 SW 120TH ST # 108-548
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7270
Mailing Address - Country:US
Mailing Address - Phone:786-383-2779
Mailing Address - Fax:
Practice Address - Street 1:14261 SW 120TH ST # 108-548
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7270
Practice Address - Country:US
Practice Address - Phone:786-383-2779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-16
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL191411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty